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Organization
PRISMA HEALTH UNIVERSITY MEDICAL GROUP
Active
Organization
PRISMA HEALTH UNIVERSITY MEDICAL GROUP
Active
Other names
University Medical Group/Blue Ridge Orthopaedics
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI ANN LAWRENCE (DIRECTOR PROVIDER ENROLLMENT)
(864) 797-6118
Entity
Organization
Contact information
Practice address
10630 CLEMSON BLVD, SUITE 100, SENECA, SC 29678-4546
(864) 482-6000
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(643) 854-4790
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0801X
Orthopaedic Trauma Physician
—
—
Other
Enumeration date
03/10/2015
Last updated
05/15/2020
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